MSF will keep operating in Gaza ‘as long as we can’: mission head

Ribeiro added that MSF’s ability to bring medical supplies into Gaza had also been impacted. (AFP)
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Updated 19 February 2026
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MSF will keep operating in Gaza ‘as long as we can’: mission head

  • MSF has slammed the move, which takes effect on March 1, as a “pretext” to obstruct aid
  • Ribeiro added that MSF’s ability to bring medical supplies into Gaza had also been impacted

AMMAN: The head of Doctors Without Borders in the Palestinian territories told AFP the charity would continue working in Gaza for as long as possible, following an Israeli decision to end its activities there.
In early February, Israel announced it was terminating all the activities in Gaza by the medical charity, known by its French acronym MSF, after it failed to provide a list of its Palestinian staff.
MSF has slammed the move, which takes effect on March 1, as a “pretext” to obstruct aid.
“For the time being, we are still working in Gaza, and we plan to keep running our operations as long as we can,” Filipe Ribeiro told AFP in Amman, but said operations were already facing challenges.
“We haven’t been able to get international staff inside Gaza since the beginning of January. Israeli authorities denied any entry to Gaza, but also to the West Bank,” he said.
He added that the current team of international staff, who like most international NGOs rotate in and out every few months, is due to leave in late February and will not be replaced if the current situation holds.

- Depleting medicine stocks -

Ribeiro added that MSF’s ability to bring medical supplies into Gaza had also been impacted.
“They’re not allowed for now, but we have some stocks in our pharmacies that will allow us to keep running operations for (the) time being,” he said.
“We do have teams in Gaza that are still working, both national and international, and we have stocks.”
Shortages of everything from fuel and food to medicine and clean water have been an ongoing issue in Gaza since the start of the war, with Israel imposing restrictions on all trucks entering the territory.
In December, Israel announced it would prevent 37 aid organizations, including MSF, from working in Gaza from March 1 for failing to submit detailed information about their Palestinian employees, drawing widespread condemnation from NGOs and the United Nations.
It had alleged that two MSF employees had links with Palestinian militant groups Hamas and Islamic Jihad, which the medical charity has repeatedly and vehemently denied.
“MSF has not hired any member of an armed group, and if there is, if there is such a case, then of course, MSF will act. We have put in place a screening system for people joining MSF,” Ribeiro said.
“It’s not perfect, but it’s strict,” he added.
MSF says it did not provide the names of its Palestinian staff because Israeli authorities offered no assurances regarding their safety.
In total, 15 Palestinian employees of the NGO were killed in Israeli strikes or by gunfire in Gaza since the war started on October 7, 2023.
“MSF is one of the biggest actors when it comes to the health provision in Gaza and the West Bank, and if we are obliged to leave, then we will create a huge void in Gaza,” he said.
The charity says it currently provides at least 20 percent of hospital beds in the territory and operates around 20 health centers.
In 2025 alone, it carried out more than 800,000 medical consultations, treated more than 100,000 trauma cases and assisted more than 10,000 infant deliveries.

- Keeping hospitals neutral -

In January, MSF said it partly pulled out of Nasser Hospital, the largest medical facility in the southern Gaza Strip, due to an increasing presence of armed men on the compound, which runs against the organization’s rules.
“We decided to suspend operations and we are waiting for the Minister of Health and local authorities to take action,” and ensure the hospital remains neutral ground, Ribeiro said.
When asked whether MSF’s decision to suspend operations and raise the issue of armed men in the hospital had anything to do with Israel’s termination of its operations, Ribeiro said: “No, it has nothing to do with the decision made by the Israelis.”
“Actually, it has to do with our capacity to keep running our operations, to be able to provide medical care in a safe environment.”
He said that MSF staff remained in the hospital’s burns unit and orthopedic department, but suspended outpatient activities such as maternity and orthopaedic operations because the health ministry has the capacity to run those departments.
Despite the challenges, Ribeiro said MSF hopes to keep providing services in Gaza.
“We hope that we will find one way or the other to reopen a dialogue with the Israeli government in order to make sure that soon, and the sooner the better, we will be able to go back to Gaza.”


Alexandria bids farewell to historic tram in latest urban upheaval

Updated 49 min 32 sec ago
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Alexandria bids farewell to historic tram in latest urban upheaval

  • For over 160 years, the tram has cut through Alexandria’s heart, in an 11-kilometer stretch that includes many of the city’s schools and main universities

ALEXANDRIA, Egypt: Along Egypt’s Mediterranean coast, the oldest tram in Africa and the Middle East rumbles for a final few weeks before its removal — the latest urban upheaval Alexandrians say is hollowing out their city’s identity.
Government plans to replace the colorful streetcars on one of the city’s routes with a partially elevated light rail line have angered Alexandrians, for whom the 163-year-old track is “heritage, not just a means of transport,” local urban researcher Nahla Saleh told AFP.
Inaugurated in 1863, the tram is one of the world’s oldest, and among only a few to operate double-decker cars.

People for a tram, one of the oldest means of transport which is earmarked fro renovation, in the coastal city of Alexandria, on February 18, 2026. (AFP)

In the 19th and 20th centuries, it helped the city become a bustling metropolis, home to sizable European diasporas and a distinct cosmopolitan culture.
Now, Egyptians young and old have flocked for farewell rides, before the streetcars come to a halt in April.
As one locomotive screeches into the old El-Raml Station, commuters and visitors crane their necks out of giant windows at the historic neo-Venetian buildings overhead.
“We’re not against progress,” psychologist and writer on culture Mona Lamloum told AFP.
She and other Alexandrians agree the tramway needs work: inside the hand-calligraphied blue exterior, grime covers every surface. Underfoot, the rubber flooring is torn and strewn with trash.
“We just have bad experiences of everything they call ‘progress’ becoming synonymous with destruction,” Lamloum said.
In recent years, development projects in Egypt’s second city have razed historic parks and — most egregiously to locals — privatised and obstructed much of its Mediterranean coastline.

- Heart of Alexandria -

For over 160 years, the tram has cut through Alexandria’s heart, in an 11-kilometer stretch that includes many of the city’s schools and main universities.
The new project, led by Egyptian and international companies including Systra, Hyundai and Hitachi, promises to double speed and triple capacity.
Over half of it will be elevated — a major concern for Alexandrians who fear the tree-lined track will be replaced by eyesore concrete stilts.
Ahead of the first phase of suspension, the transport ministry said the new project was the “only solution to the city’s traffic problems.”
Locals like Saleh and Lamloum disagree, saying government plans are making the city more car-dependent and worsening traffic.
Already, because so many students rely on the tram, the city has staggered school and university hours to pick up the slack of the partial shutdown.
“Traffic’s getting worse, people can’t get anywhere, when we’ve already lost the inner-city train,” said Saleh, referring to another project under construction for the past two years, the new Alexandria Metro Line.
“Besides, it being slow was always an advantage,” she added, making it safe for “the most vulnerable in society: children and the elderly.”
Retired science teacher Hisham Abdelwahab, 64, has been riding the tram since he was a child.
“I don’t want it to go fast, I like watching the world go by,” he told AFP on a station bench.
“Our parents never thought twice about sending us out on the tram alone. Now I have a car, I just like leaving it parked to come ride the tram.”
When the next streetcar rolls in, the upper deck fills with a gaggle of schoolgirls, squabbling over who gets the window seat closest to the sea breeze.

- The old tram and the sea -

“This tram is our heritage,” Abdelwahab said, his sentiment shared by those several decades younger.
Engineering student Mahmoud Bassam, 24, has visited Alexandria just to ride the streetcar “since our tram in Cairo was removed,” he told AFP.
With a controversial slew of bridges and widened streets completed in 2020, Cairo’s historic Heliopolis neighborhood lost its last tram tracks, along with many of its trees.
“Now the same is happening here,” Bassam lamented.
Many Alexandrians are feeling the loss, intermingled with their other most treasured heritage.
“It’s like the sea. We used to go for long scenic drives on the corniche, but now we’re losing both the sea and the tram,” Abdelwahab said.
Parallel to the tramway, much of Alexandria’s iconic corniche is now hidden behind overpasses, private businesses and beachside food courts.
By 2024, over half of the city’s Mediterranean coastline had disappeared from view, according to a study by the Human and the City for Social Research center.
Four-lane highways now dominate long stretches of the seaside, where the landmark sight of fishermen perched over the waves grows ever-rarer.
For many, the waterfront that Lebanese singer Fairouz immortalized in 1961 — crooning about “the coast of Alexandria, coast of love” — is no more.
“Now all you see is concrete,” said Lamloum.
Saleh calls it “short-sighted” that the city could lose its charm to sprawling concrete.
“Tourists used to love coming to see the tram and sit by the sea, why take away both?“